Minimally Invasive Repair Surgery For Pectus Carinatum; A One-Year Experience

• Main Author: Tülin Durgun Yetim
• Format: Article
• Language: English
• Published: Mustafa Kemal University 2016-12-01
• Series: Mustafa Kemal Üniversitesi Tıp Dergisi
• Subjects: Congenital Chest Wall Deformity; Pectus Carinatum; Minimally Invasive Surgery; Konjenital göğüs duvarı deformitleri; pektus karinatum; Minimal İnvazif Cerrahi
• Online Access: http://dergipark.gov.tr/mkutfd/issue/19607/209542?publisher=mku

Objective: Pectus carinatum, is the second most common congenital chest wall deformityafter pectus excavatum. Etiology is controversial but positive family history of congenital chest wall deformity (25%) is supporting the genetic transition. In recent years, Minimally Invasive Repair of Pectus Carinatum (MIRPC), a modified type of Nuss procedure, has been preferred in many clinical centers due to the successful results achieved by Abramson. We have used the same method in our cases (14 man 6 woman) and wanted to share our experiences. Quality of the patients’ life was evaluated after the surgery. Material and Methods: Psychosocial problems because of cosmetic appearance occured in all cases.17 (85%) patients have symmetrical deformity, and 3 (15%)  have asymmetrical deformitiy. The most common anomaly is scoliosis. Correction was done with one pectus bar in all patients. All 20 patients in the series underwent control thorax CT and quality of life surveyin the postoperative 3rd month Conclusion: MIRPC is less invasive and leaves less scar tissue, should be preferred in appropriate patients.